Epithelioid cotyledonoid dissecting leiomyoma: a case report and review of the literature

Abstract A 63-year-old mother of two, presented with blood-stained vaginal discharge and right sided lower abdominal pain. A MRI examination confirmed a right parametrial mass, abutting the lateral margin of the uterus and the patient had a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Histological examination diagnosed a cotyledonoid leiomyoma, but with a new epithelioid variant. Cotyledonoid leiomyomâs usually have a large, fungating appearance and demonstrate apparent widespread infiltrative growth and extension into the pelvic cavity, broad ligament and retroperitoneal space which may raise significant concern about the possibility of a malignant neoplasm. As these tumours are rare and infrequently encountered, it is imperative that clinicians be …

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I joined the day after my abdominal hysterectomy, unfortunately every bit of advise and information all came to me too late. Which is why I used the forums, which where helpful, but emails mainly seemed to be helping before the op not after